Thyroglossal and Branchial Cleft Cysts and Sinuses

Telander, Robert L.; Deane, S. A.

doi:10.1016/s0039-6109(16)41288-0

Cited by 111 publications

(68 citation statements)

References 8 publications

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“…The risk of infection is the primary indication for surgical intervention. The most common responsible pathogens include Haemophilus influenzae, Staphylococcus aureus, and Staphylococcus epidermidis [5,13]. In our study only one patient (5%) had history of infection and the culture showed Haemophilus influenzae.…”

Section: Discussionmentioning

confidence: 54%

“…He described his procedure by excision of the cyst in continuity with the central part of the body of the hyoid bone and a core of tongue muscle up to the foramen cecum. The recurrence rate with this procedure drops to 3% to 4% based on different studies [5,6]. On the other hand local cyst excision is associated with a higher recurrence rate [7].…”

Section: Introductionmentioning

confidence: 99%

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Management of Thyroglossal Duct Cyst

Swaid¹,

Alammar²

2008

TOOTORJ

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Abstrct:Objective: Is to review our cases of Thyroglossal duct cyst (TGDC) attempting to make some conclusions that may facilitate the management of such a cases.Study Design: Twenty patients with the diagnosis of TGDC were managed between July 1996 and April 2007 in the department of Otolaryngology, King Abdul-Aziz University Hospital, Riyadh, Saudi Arabia.Results: All of our cases underwent radiological assessment before surgical intervention. Eighteen patients underwent Sistrunk procedure. In two patients the treatment was limited to removal of the cyst. In seventeen patients the clinicoradiological diagnosis was in agreement with histopathological diagnosis of TGDC. Conclusions:The diagnosis of TGDC in most of the cases is clinical. Combination of clinical assessment and imaging studies can improve the sensitivity for the diagnosis. Sistrunk's operation presented good results in our series with low rates of complications (5%) and recurrence (5.5%).

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Section: Discussionmentioning

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Management of Thyroglossal Duct Cyst

Swaid¹,

Alammar²

2008

TOOTORJ

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“…The most common clinical presentation of a TDC is a gradually enlarging painless mass at the anterior neck. 9,10 No sex predilection has been reported. 2 As treatment, complete excision of the TDC with a Sistrunk procedure is usually performed.…”

Section: Discussionmentioning

confidence: 99%

Sonographic Assessment of Thyroglossal Duct Cysts in Children

Kutuya¹,

Kurosaki²

2008

Journal of Ultrasound in Medicine

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Abbreviations BCC, branchial cleft cyst; TDC, thyroglossal duct cyst he thyroglossal duct cyst (TDC) is one of the most common congenital neck masses occurring in children, representing approximately 70% of the congenital lesions that occur in the neck. 1,2Sonography is thought to be an ideal initial technique for the differential diagnosis of a neck mass. In the past, the TDC commonly had been known to be a midline anechoic cyst at the level of the hyoid bone.3-6 However, many variations of its sonographic features have been reported. 7,8 As a result, it is important to confirm the existence of a TDC in the differential diagnosis by means of preoperative sonographic examinations, but a correct diagnosis is often difficult to make. As far as we could determine, up to now there have only been 2 statistical investigations (by Wadsworth and Siegel 7 and Ahuja et al 8 ) regarding the sonographic appearance of TDCs in children. We thus thought that an additional investigation should be performed. Therefore, in this study we assessed the sonographic appearance in 36 children with Image PresentationObjective. The purpose of this study was to clarify the sonographic features of thyroglossal duct cysts (TDCs) in children. We also investigated how the presence of inflammation influences the sonographic appearance. Methods. We reviewed the sonograms from 36 children (0.5-14 years old) with pathologically proven TDCs. The lesions were evaluated for location, shape, internal echo pattern, internal septa, wall thickness, posterior enhancement, solid components, margins, and fistulas. The sonographic features of 7 lesions that pathologically showed inflammation were also investigated. Results. Most TDCs were midline (77.8%), were located at the hyoid bone (44.4%) or were infrahyoid (38.9%), showed posterior enhancement (77.8%), were unilocular (86.1%), lacked internal septa (91.7%), and had a thin wall (75%). None had a solid component. The internal echo patterns were classified into 4 types: anechoic (25%), homogeneously hypoechoic (16.7%), pseudosolid (16.7%), and heterogeneous (41.6%). Inflammation was confirmed in 78% of the lesions with wall thickening and 100% of the lesions with internal septa. Conclusions. Most TDCs in children had echogenicity ranging from hypoechoic to heterogeneous. A thick wall and internal septa were considered to correlate with the presence of inflammation but not with the internal echo patterns of TDCs.

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“…Identification of a solid component within the cyst raises the suspicion of a thyroid carcinoma, which may appear in 1% of the cases, 80% being of the papillary type [4,16]. The assessment of the thyroid gland is important because, very rarely, these cysts may contain the only functioning thyroid tissue [4].…”

Section: Congenital Cervical Cystic Massesmentioning

confidence: 99%

“…Clinically, these cysts usually manifest as recurrent abscesses or inflammation around the ear or at the mandibular angle. Other symptoms may appear, such as otorheea (in case of communication between the cyst and the external auditory canal) and facial nerve paralysis [8,16]. Work [18] described two types: type I: derives from the ectoderm, being located medially to the concha of the ear and type II: derives from the ectoderm and mesoderm, containing skin appendages (sebaceous and sweat glands, hair follicles); it affects the external auditory canal and the cartilaginous pinna and includes very often parotid lesions [18,19].…”

Section: Congenital Cervical Cystic Massesmentioning

confidence: 99%

The ultrasonographic diagnosis of cystic cervical lesions: a pictorial essay

et al. 2016

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The importance of ultrasonographic (US) examination in the evaluation of the superficial structures of the head and neck region is increasing due to the widespread availability of modern equipment (such as high-frequency transducers) and modern techniques. In the case of a cervical lesion, ultrasound is usually the first imaging method used to assess the changes. First of all, US is capable of differentiating between cystic and solid structures, and based on the US appearance correlated with the the age of the patient, location and growing pattern, the appropriate diagnosis is possible with a high accuracy. The aim of the present paper is to describe the US features of the most common cystic lesions encountered in the head and neck region.

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Thyroglossal and Branchial Cleft Cysts and Sinuses

Cited by 111 publications

References 8 publications

Management of Thyroglossal Duct Cyst

Management of Thyroglossal Duct Cyst

Sonographic Assessment of Thyroglossal Duct Cysts in Children

The ultrasonographic diagnosis of cystic cervical lesions: a pictorial essay

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